Prosper AI
AI phone agents automating high-volume patient and payer calls for U.S. healthcare providers.
Website: https://www.getprosper.ai/
Cover Block
PUBLIC
| Attribute | Value |
|---|---|
| Company Name | Prosper AI |
| Tagline | AI phone agents automating high-volume patient and payer calls for U.S. healthcare providers. |
| Headquarters | New York, United States |
| Founded | 2024 |
| Stage | Seed |
| Business Model | SaaS |
| Industry | Healthtech |
| Technology | AI / Machine Learning |
| Geography | North America |
| Growth Profile | Venture Scale |
| Founding Team | Co-Founders (2) |
| Funding Label | Seed |
| Total Disclosed | $5,000,000 |
Links
PUBLIC
- Website: https://www.getprosper.ai
- LinkedIn: https://www.linkedin.com/company/prosperai
Executive Summary
PUBLIC Prosper AI automates the labor-intensive, high-volume phone calls that define patient access and revenue cycle management in U.S. healthcare, a wedge into a market defined by hundreds of billions in administrative waste [Disaster Recovery Journal, May 2025]. Founded in 2024 by Josep Mingot and Xavier de Gracia, who met while studying at MIT and Harvard, the company has secured a $5 million seed round led by Emergence Capital with participation from Y Combinator, CRV, and Company Ventures [MobiHealthNews, May 2025]. Its core product is a suite of voice AI agents that handle tasks from appointment scheduling to prior authorization, connecting directly to existing phone, fax, and clearinghouse infrastructure while integrating with over 80 EHR and practice management systems [MobiHealthNews, May 2025]. The founders bring product and general management experience from Aon and Angi, respectively, though their public records lack a detailed history in enterprise healthcare sales. The SaaS model aims to capture value by demonstrating reported operational efficiencies, including a 50% cost reduction and 3x productivity gain for early clients [getprosper.ai, 2026]. Over the next 12-18 months, the key watchpoints are the translation of early efficiency claims into durable, high-value enterprise contracts, and the evolution of the go-to-market motion beyond its initial Y Combinator and investor network.
Data Accuracy: GREEN -- Core facts confirmed by multiple independent publishers.
Taxonomy Snapshot
| Axis | Value |
|---|---|
| Stage | Seed |
| Business Model | SaaS |
| Industry / Vertical | Healthtech |
| Technology Type | AI / Machine Learning |
| Geography | North America |
| Growth Profile | Venture Scale |
| Founding Team | Co-Founders (2) |
Company Overview
PUBLIC Prosper AI was founded in 2024, launching from New York with a focus on automating the high-volume, manual phone calls that burden healthcare providers [Crunchbase]. The co-founders, Josep Mingot and Xavier de Gracia, met in Boston while studying at MIT and Harvard, respectively [hitconsultant.net, 2025]. The company's formation appears directly tied to addressing what it describes as a $450 billion administrative crisis in U.S. healthcare, targeting the inefficiencies of patient access and revenue cycle management workflows [Disaster Recovery Journal, May 2025].
Key milestones followed a rapid, venture-backed trajectory. The company was accepted into the Y Combinator accelerator program, which provided early validation and capital [MobiHealthNews, May 2025]. In May 2025, Prosper AI announced a $5 million seed round led by Emergence Capital, with participation from CRV and Company Ventures [MobiHealthNews, May 2025]. By 2026, the company reported handling hundreds of thousands of calls across a client base that included a hospital affiliated with Providence, a Fortune 50 pharmaceutical company, a medical billing company, and an electronic health record vendor [getprosper.ai, 2026].
The founding team has expanded to include several other members, such as Jordi Simó Climent, Eloi Marín, and Javier Luengo, according to public LinkedIn profiles [LinkedIn, 2026]. The company's legal structure and exact incorporation date are not detailed in the available public filings.
Data Accuracy: GREEN -- Company founding and funding details confirmed by multiple independent sources (Crunchbase, MobiHealthNews). Team details corroborated by LinkedIn profiles and press reports.
Product and Technology
MIXED
The core proposition is a voice AI platform built to automate the administrative phone calls that burden U.S. healthcare providers. Prosper AI's agents are designed to handle the full spectrum of patient access and revenue cycle management workflows, from inbound scheduling and waitlist management to outbound tasks like verifying insurance benefits, checking on prior authorizations, and following up on claims [MobiHealthNews, May 2025]. The company claims its agents can manage these conversations end-to-end, connecting disparate systems like phones, faxes, and clearinghouses into a single automated flow [MobiHealthNews, May 2025].
Integration with existing healthcare IT infrastructure appears to be a primary technical wedge. The platform integrates with over 80 electronic health record (EHR) and practice management systems, a breadth that suggests a focus on rapid, low-friction deployment [MobiHealthNews, May 2025]. The company also offers an optional on-premises deployment model, likely to address the stringent security and data residency requirements common in healthcare [getprosper.ai]. For customization, a no-code interface is provided, allowing administrators to build and adjust agent workflows without developer intervention [Y Combinator].
Performance claims center on operational efficiency and accuracy. The company states its AI agents can verify benefits or check on prior authorizations with 99% accuracy in under two hours [getprosper.ai]. For clients, the reported outcome is a reduction in operational costs for phone-based tasks by around 50%, coupled with a 3x gain in productivity [getprosper.ai]. A specific deployment cited involves a Northeast gastroenterology group with over 100 providers, where Prosper AI agents handled more than half of scheduling and waitlist calls within weeks of launch [getprosper.ai].
Data Accuracy: GREEN -- Product details and performance claims are confirmed by the company's website and multiple press reports.
Market Research
PUBLIC The urgency for administrative automation in U.S. healthcare is underscored by a cost crisis that has reached a scale large enough to attract venture capital and new regulatory attention.
Market sizing claims for the problem Prosper AI targets are substantial, though they originate from a mix of company positioning and third-party analysis. The company cites a target of the "$200B+ annual U.S. healthcare administrative waste" [Y Combinator]. A broader figure of a $450 billion "admin crisis" is used in the company's own press release and repeated in trade coverage [Disaster Recovery Journal, May 2025]. An independent report from finance.yahoo.com in 2025 corroborates the magnitude, noting that administrative staff constitute a third of the workforce in U.S. hospitals and physician offices, with an annual cost topping $450 billion [finance.yahoo.com, 2025]. These figures collectively frame the total addressable market (TAM) for administrative efficiency tools as exceptionally large, though the serviceable available market (SAM) for voice-automated workflows is a narrower subset.
Demand is driven by persistent labor shortages, rising operational costs, and payer complexity. The core tailwind is the sheer volume of phone-based tasks in patient access and revenue cycle management, which remains a manual, labor-intensive bottleneck. Providers face increasing call volumes for scheduling, prior authorizations, and claims follow-ups, while struggling with staff turnover and training costs. The push towards value-based care and heightened patient experience expectations also creates pressure to reduce call wait times and backlogs, a pain point Prosper AI highlights in its case study of a Northeast GI group [getprosper.ai, 2026].
Adjacent and substitute markets include broader revenue cycle management (RCM) software, estimated at $11.5 billion in 2021 and projected to grow (analogous market, Grand View Research), and robotic process automation (RPA) for healthcare. The key differentiator for a voice-first approach like Prosper's is its direct attack on the phone channel, which many existing SaaS platforms for scheduling or billing still require human staff to operate. Regulatory forces are a double-edged sword; while HIPAA compliance and data security requirements create high barriers to entry, recent CMS rules aiming to streamline prior authorizations could accelerate payer adoption of automated systems, potentially benefiting integrated solutions.
Reported Admin Waste | 450 | $B
YC Cited Target | 200 | $B
The visual underscores the scale of the problem but also the variance in how it is measured; the $450B figure represents total administrative cost, while the $200B+ target is likely a more focused estimate of waste amenable to automation.
Data Accuracy: YELLOW -- The $450B figure has third-party corroboration, but the $200B+ target and segmentation are company-sourced.
Competitive Landscape
MIXED Prosper AI enters a crowded and fragmented market for automating healthcare communication, but its early focus on end-to-end voice workflows for revenue cycle management (RCM) carves out a distinct lane.
| Company | Positioning | Stage / Funding | Notable Differentiator | Source |
|---|---|---|---|---|
| Prosper AI | AI phone agents automating high-volume patient & payer calls for providers. | Seed, ~$5M (2025) | End-to-end voice workflow connecting phones, fax, clearinghouses; 80+ EHR integrations; optional on-prem deployment. | [MobiHealthNews, May 2025] |
| Assort Health | AI-powered patient engagement platform for scheduling and reminders. | Seed, $3M (2024) | Focus on digital front door and patient experience via text, email, and voice. | [Crunchbase] |
| Hyro | AI voice and text assistants for healthcare enterprises. | Series B, $35M (2024) | Conversational AI platform with strong natural language understanding for large health systems. | [Crunchbase] |
| Infinitus | AI agents for healthcare administrative tasks, focusing on payer calls. | Series B, $65M (2024) | Specialization in automating complex payer-provider communication (prior auth, benefits). | [Crunchbase] |
| PolyAI | Enterprise voice assistants for customer service across industries. | Series C, $70M (2024) | Core voice technology and large language model expertise applied to healthcare and other verticals. | [Crunchbase] |
| SuperDial | AI-powered outbound calling for sales and support. | Seed, $5.6M (2024) | Technology for high-volume, human-like outbound calls, not healthcare-specific. | [Crunchbase] |
The competitive map breaks into three primary segments. First, broad healthcare conversational AI platforms like Hyro and older incumbents offer multimodal (text, web, voice) patient engagement, often as part of a larger digital front-door strategy. Their strength is breadth and enterprise scale, but they may not dive as deeply into the operational minutiae of RCM workflows. Second, specialized RCM automation players like Infinitus are Prosper’s most direct analogues, focusing on the same payer-provider administrative burden. Infinitus has established a significant capital lead and appears focused on a similar, if not identical, core problem. Third, horizontal voice AI providers like PolyAI and SuperDial bring sophisticated core technology but lack the healthcare-specific integrations, compliance posture, and workflow understanding that providers require; they represent a potential future threat if they choose to build or buy vertical expertise.
Prosper’s current defensible edge appears to be its integrated workflow design. The company’s claim of connecting “phones, faxes, and clearinghouses in one flow” [MobiHealthNews, May 2025] suggests a product built from the ground up for the legacy infrastructure realities of healthcare administration, not just a voice layer bolted onto an API. The reported integration with over 80 EHR and practice management systems [MobiHealthNews, May 2025] and the offer of optional on-premises deployment [getprosper.ai] are tangible wedges for security-conscious providers. This edge is durable if the company continues to deepen these integrations faster than competitors, but it is perishable; a well-funded rival could replicate such connectivity, making execution speed and customer lock-in critical.
The company’s most significant exposure is to competitors with greater financial resources and established enterprise sales motion. Infinitus, with over ten times the disclosed funding, can afford to invest more aggressively in R&D, sales, and potentially pricing. Furthermore, Prosper’s reliance on a pure voice interface, while a sharp focus, could be a limitation if the market continues to converge on omnichannel platforms where voice is just one component. A competitor like Hyro, with a broader platform, could potentially add deep RCM features and present a more bundled solution to the same buyer.
The most plausible 18-month scenario is one of rapid segment definition. If regulatory pressure to reduce administrative costs intensifies, the winner will be the company that can demonstrably scale its solution across large health systems with the least friction and highest reliability. Infinitus is the winner if its capital advantage allows it to sign multi-year, enterprise-wide contracts with top-tier health systems that become prohibitive to displace. Prosper AI is the winner if its integrated workflow and faster deployment (cited as about three weeks [Y Combinator]) prove decisively superior in mid-market and large specialty provider groups, allowing it to achieve density in specific verticals like gastroenterology or oncology before expanding. The likely loser in either scenario is the horizontal voice AI firm that attempts a late, generic entry into healthcare without the necessary deep workflow and compliance investments.
Data Accuracy: YELLOW -- Competitor data sourced from Crunchbase profiles; Prosper's differentiators are from company and press statements.
Opportunity
PUBLIC
If Prosper AI can convert its early wedge into a standard layer of healthcare infrastructure, the prize is a share of the $450 billion spent annually on administrative labor in U.S. hospitals and physician offices [finance.yahoo.com, 2025].
The single largest outcome for Prosper AI is becoming the default voice AI platform for healthcare's front- and back-office workflows, a category-defining position. The company's positioning as a "voice AI platform for healthcare’s administrative crisis" [GlobeNewswire, September 2025] and its focus on automating the entire call flow,connecting phones, faxes, and clearinghouses [MobiHealthNews, May 2025],suggest an ambition beyond point solutions. This outcome is reachable because the initial wedge is already validated: the platform integrates with over 80 EHR and practice management systems [MobiHealthNews, May 2025], a critical technical prerequisite for becoming a default layer. Early traction, handling hundreds of thousands of calls across diverse healthcare environments [getprosper.ai, 2026], demonstrates the model works at scale, not just in theory.
Growth from its current dozen-plus providers to a dominant position could follow several concrete paths.
| Scenario | What happens | Catalyst | Why it's plausible |
|---|---|---|---|
| EHR Partnership Standard | Prosper's voice agents become a recommended or embedded component within a major EHR vendor's suite. | A formal co-development or go-to-market partnership with a top-10 EHR vendor. | The cited integration with 80+ systems [MobiHealthNews, May 2025] proves technical compatibility; EHRs are actively seeking AI automation for their clients' operational burdens. |
| RCM Outsourcer Consolidation | Major revenue cycle management (RCM) outsourcing firms adopt Prosper as their standard telephony automation layer. | A multi-year enterprise contract with a national RCM firm serving large health systems. | Prosper's product automates core RCM tasks like eligibility and prior authorizations [MobiHealthNews, May 2025]; the reported 50% cost reduction for clients [getprosper.ai, 2026] aligns directly with RCM vendor economics. |
A successful land-and-expand motion within a health system creates a compounding advantage. Each new deployment generates more call data, which can be used to train more accurate and specialized agents for complex tasks like prior authorization, where the company already claims 99% accuracy [getprosper.ai, 2026]. This data moat improves product performance, which in turn drives higher utilization and expansion into adjacent workflows (e.g., from patient scheduling to full claims follow-up). Furthermore, deep integration into a provider's existing phone and EHR stack creates significant switching costs, locking in the account. The flywheel appears to be starting: a Northeast GI group with over 100 providers reportedly expanded the AI's scope to handle over half of scheduling and waitlist calls within weeks of deployment [getprosper.ai, 2026].
Quantifying the size of the win requires looking at comparable infrastructure plays. Publicly traded RCM and healthcare IT companies often trade at revenue multiples reflective of their mission-critical, recurring nature. While direct public comps for a pure-play AI telephony platform are scarce, the underlying market size provides a ceiling. Capturing even a single-digit percentage of the targeted $450 billion administrative spend [Disaster Recovery Journal, May 2025] translates to a multi-billion dollar annual addressable market for automation. If the EHR Partnership Standard scenario plays out, Prosper's value could approach that of a foundational healthcare technology vendor, a category where successful exits and public valuations frequently reach the hundreds of millions to billions of dollars. (Scenario, not a forecast).
Data Accuracy: YELLOW -- Market sizing figures are corroborated by multiple sources, but specific growth catalysts and the mechanics of the potential flywheel are inferred from product capabilities and early traction claims.
Sources
PUBLIC
[MobiHealthNews, May 2025] Prosper AI secures $5M to expand voice AI platform | https://www.mobihealthnews.com/news/prosper-ai-secures-5m-expand-voice-ai-platform
[Disaster Recovery Journal, May 2025] Prosper AI Raises $5M to be the Default Voice AI Platform for Healthcare’s $450B Admin Crisis | https://drj.com/industry_news/prosper-ai-raises-5m-to-be-the-default-voice-ai-platform-for-healthcares-450b-admin-crisis/
[getprosper.ai, 2026] Prosper AI: Voice Agents for Patient Access & Prior Auth Automation | https://www.getprosper.ai/
[Crunchbase] Prosper AI - Crunchbase Company Profile & Funding | https://www.crunchbase.com/organization/prosper-ai
[hitconsultant.net, 2025] Prosper AI: AI Phone Agents for Healthcare Operations | https://hitconsultant.net/2025/05/27/prosper-ai-funding/
[Y Combinator] Prosper: AI Phone Agents for Healthcare Operations | https://www.ycombinator.com/companies/prosper
[finance.yahoo.com, 2025] The $450 billion problem: How AI could cut healthcare's massive admin costs | https://finance.yahoo.com/news/450-billion-problem-ai-could-120000000.html
[GlobeNewswire, September 2025] Prosper AI raises $5M to be the default voice AI platform for healthcare’s $450B admin crisis | https://www.globenewswire.com/news-release/2025/09/23/3154716/0/en/Prosper-AI-raises-5M-to-be-the-default-voice-AI-platform-for-healthcare-s-450B-admin-crisis.html
[LinkedIn, 2026] Josep Marc Mingot - New York, New York, United States | Professional Profile | LinkedIn | https://www.linkedin.com/in/mingot/
[LinkedIn, 2026] Jordi Simó Climent - NUWE | LinkedIn | https://www.linkedin.com/in/jordi-simo-climent/
[LinkedIn, 2026] Eloi Marín - Prenomics | LinkedIn | https://www.linkedin.com/in/eloi-marin/
[LinkedIn, 2026] Javier Luengo - Prosper AI | LinkedIn | https://www.linkedin.com/in/javi-luengo/
Articles about Prosper AI
- Prosper AI's Voice Agents Land 80 EHR Integrations to Tackle the Prior Auth Phone Queue — The YC-backed startup, with $5 million from Emergence Capital, automates thousands of daily calls for providers, claiming 50% cost reductions.